PICO Negative Pressure Wound Therapy in Obese Women Undergoing Elective Cesarean Delivery.

Inclusion Criteria: * Provision of signed and dated informed consent form * Stated willingness to comply with all study procedures and availability for the duration of the study; willing and able to return for all scheduled and required study visits * Female, aged 18 - 55 years * BMI ≥ 35 kg/m2 in the 42 days prior to surgery * In good general health as evidenced by medical history with a 24 - 41 weeks gestational age pregnancy scheduled for cesarean delivery for any routine indication (repeat procedure, breech presentation, abnormal placentation, uterine anomaly, maternal medical condition, or elective) * Surgical skin site preparation with chlorhexidine gluconate solution (ChloraPrep©) * Received preoperative surgical prophylaxis antibiotics as per protocol * Surgical incision that can be covered completely by the NPWT skin system * Pre-operatively assessed to undergo a procedure with a CDC Wound Classification of: a. Class I (Clean): An uninfected operative wound in which no inflammation is encountered and the respiratory, alimentary, genital, or uninfected urinary tract is not entered * OR - b. Class II (Clean Contaminated): An operative wound in which the respiratory, alimentary, genital, or uninfected urinary tract are entered under controlled conditions and without unusual contamination * Wound hemostasis has been achieved Exclusion Criteria: * Cesarean delivery before fetal viability (24 0/7 weeks gestational age) * Unplanned Cesarean delivery * Intrauterine fet…